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Anesthesia FAQ


For your surgical procedure, you may have the option of choosing your method of anesthetic sedation. You will not make this decision blindly; the option that is chosen for or by you is taken into careful consideration by both you and Dr. Elias. He will explain each option in detail and outline the risks of each. Factors weighed include the nature of the procedure and your level of apprehension regarding the surgery. We want you to be comfortable and for the procedure to go by smoothly.

In order to administer anesthesia in an office, Dr. Elias completed hospital-based anesthesia training and was evaluated by a state dental board appointed examiner. This evaluation includes observing a surgery in which general anesthesia is used, inspecting monitoring devices and emergency preparedness and testing the doctor and staff on anesthesia-related injuries and emergencies. The certification we received after this comprehensive evaluation is renewable every two years as long as the surgeon completes a required number of continuing education hours.

We take your safety and comfort very seriously, especially when it comes to sedation. If you are concerned or have any questions regarding your anesthesia, do not hesitate to bring this up before your procedure or during your consultation.

Intravenous Sedation

Intravenous sedation, or “twilight” sedation is offered as an option for our surgery patients. IV sedation allows you to remain comfortable and relaxed during your procedure, allowing you and Dr. Elias an easier and more efficient treatment. You may not remember anything about the procedure upon returning from sedation, but you may not always be asleep through the sedative. You will remain in a calm state, drifting through a “twilight” sleep.

If you choose IV sedation, Dr. Elias monitors and administers the dosing, ensuring you do not take on the often cumbersome cost of being treated in an operating room or surgical facility.

IV sedation is administered through a needle in a vein in your arm or hand. The needle will be attached to a tube through which the medication will flow slowly and continuously throughout treatment. If your vein does not maintain the needle, your medication will be administered and then the needle removed, achieving the same level of sedation.

This type of sedation is very safe, as it allows the surgeon to use the least amount of medication possible to complete the procedure. An antidote can be administered at any time to reverse the sedation’s effects if necessary.

Nitrous Oxide (Laughing Gas)

Nitrous Oxide is another option we offer for your sedation. This is an inhalable, non-irritating, colorless gas that has been used in sedation in dentistry for years. Patients are able to breathe properly on their own and control all bodily functions the duration of this sedation, but may experience mild amnesia in attempting to remember the appointment. This means of sedation is very safe and also easy to control.

Some of the advantages of Nitrous Oxide sedation:

  • Depth of sedation can be increased or decreased at any time
  • There is no grogginess following the procedure
  • There are no harmful side affects on your heart and lungs
  • This sedation minimizes gag reflexes
  • Fast-acting; reaches the brain within 20 seconds

Reasons we would not recommend nitrous oxide include:

  • You have emphysema
  • You suffer from chest pain or complications
  • You have MS
  • You have contracted a cold or are having difficulty breathing normally

You may ask your dentist for a 5-minute trial to see how your body feels under this NITROUS OXIDE ANALGESIA before you proceed to choose it for your procedure. Contact us today to learn more.

Southern California Center for Surgical Arts
4910 Van Nuys Blvd, Suite 102
Sherman Oaks, CA 91403
Phone: 818-452-5015
Fax: 818-789-5833
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